Kungenxa yokuba izibangela zeso lesinki (i-conjunctivitis) zinjalo-zibangelwa yizinto zonke ezivela kwiintsholongwane zentsholongwane kunye neebhaktheriya ukuya kwintlungu kunye nokunyuka kweekhemikhali-unyango kufuneka lulungelelaniswe nesizathu esiyintloko. I-conjunctivitis epholileyo, ngelixa ingakhathazeki, inokusombulula iyodwa. Ezinye iziganeko zingadinga iintsholongwane zonyango ukunyanga ukutheleleka kwebhaktheriya, i-steroids ye-topical ukunciphisa ukuvuvukala, kunye neendlela zokweseka (ezinjalo ukugqithisa okubandayo kunye neinyembezi ezenzayo) ukunceda ukunciphisa intlungu kunye nokuphazamiseka.
Zonyango
I- conjunctivitis epholileyo iya kubangela ubomvu kwelinye okanye zombini amehlo kunye nokutshaya, ukutshisa, ukukrazula ngokugqithiseleyo, kunye nokuvakala ngokugqithiseleyo nanini na xa ubonakala. Kungakhathaliseki ukuba yiyiphi imbangela, amaxesha amancinci angafuneki unyango kwaye uya kuphucula ngokwabo kwiiveki ezimbalwa.
Ngoxa ulinde, amayeza asekhaya angasetyenziselwa ukunciphisa ukonakala. Zingasetyenziselwa kunye nemithi echazwe kwezinye iindidi zelinki.
Iingcebiso Zokuzinakekela
Ukunyangwa kwenyango lwe-conjunctivitis kuya kugxininiswa ekunciphiseni ukuphazamiseka, ukuphulukisa ukuxhaswa, nokukhusela ukusasazeka kokusasazeka.
Abantu abaninzi bafumana ukukhululeka ngokusetyenziswa kwe- compress epholile okanye efudumeleyo. Ukuba iso lakho lepinki libangelwa yi-allergies, ukuphoxwa okupholileyo kunokunceda ukukhulula ukutshaya nokutshisa. Ukuba unesifo se-viral okanye ibhakteria, icompress efudumele inokunciphisa ubomvu nokuvuvukala. (Ukuze ugweme ukusasazeka kwentsholongwane ukusuka kwelinye ilanga ukuya kwelinye elilandelayo, sebenzisa iincinci ezihlukeneyo kweso ngalinye kunye nesethi entsha yokunyanzeliswa kwonyango ngalinye.)
Ungafaki i-herbal, aromatherapeutic, okanye enye i-compress, kwi-compress, njengoko oku kutshaya, kunokuba kunciphise, iimpawu. Kwakhona, gweba nayiphi na ihlahlo eliso lingavunyelwe ukuba lihlolwe yi-ophthalmic elisetyenziswe nguLawulo lwezoKutya nokuLawula iMithi.
Ukuba unxibe ii-lens zokudibanisa , kukulungele ukuzisusa kude kube yimiqathango yakho.
Xa bekunjalo kwaye awusayi kuba negalelo, kufuneka ulahle ngaphandle naluphi na oonxibelelwano olulahlayo olukhuselekileyo ukukhusela ukubuyiswa kwakhona. Naliphi na oonxibelelwano abangahlawuliyo kufuneka bafakwe i-disinfected ngobusuku bobusuku ngaphambi kokuba basebenzise. (Yiba ngokuqinisekileyo ngokuqinisekileyo ukujonga umhla wokuphela kwesisombululo se-disinfecting ukuqinisekisa ukucoca ngempumelelo.)
Ukukhusela ekhaya
Ukuba imbangela yelinki eluhlaza isifo, njenge- epidemic keratoconjunctivitis (EKC) kwiindawo zokunakekelwa kwamasango kunye nezikolo, wena kunye nosapho lwakho kufuneka nithathe amanyathelo okukhusela ukusabalala kokusasazeka (okanye ukusuleleka kwintsholongwane). Oku kubandakanya:
- Ukuhlamba izandla rhoqo ngamanzi ashushu kunye nesepha
- Ukuphepha ukuchaphazela amehlo
- Ukwabelana ngeelayile, pillowcases, kunye neehokerchi
- Akwabelani ukwazisa okanye amaconsi asehlo
- Ukuhlamba i-pillowcases kunye nokulala rhoqo
I-Over-the-Counter (OTC) Iipilisi
Iinyembezi zokwenza izinto , ezifumaneka kwi-counter, zinganika uncedo ngokunyusa isohlwayo kweso kunye nokunciphisa ezinye iimvakalelo ezinokuthi zihambisane neliso lesinki.
Kukho iintlobo ezahlukeneyo ezahlukileyo, ezinye zazo ziqukethe i-lipids ukulinganisa iinyembezi zangempela (ezifana ne-Refresh Optic Advance kunye neSoothe yaseBausch & Lomb) kunye nabanye abangabinokuzigcina bekhululekile ekunciphiseni ingozi yokungabikho komzimba (njengeTheraTears kunye neAlcon Systane).
Kukho iziqulatho ezinomlinganiselo ogqithiseleyo (njengoRefresh Celluvisc okanye iSystane Ultra), ezinokukunceda ukunciphisa ukunyanzelisa i-corneal abrasion ngokugubungela iso. Ngaphaya kwebala, banokuphinda babambe uthuli, impova, kunye nezinye izifo.
Ukuba i-allergies iyimbangela yesiso sakho sepinki, i- antihistamine ngaphezu kwe-counter-anti- stistin efana neClaritin (i-loratadine), i-Zyrtec (cetirizine), okanye i-Allegra (i-fexofenadine) inokukunceda ukunciphisa utywala. I-Antihistamine iliso lamaconsi asebenzayo ekuboneleleni ngokukhawuleza.
Imigaqo
Ezinye iifom ze-conjunctivitis zinokuzuza kakhulu kumyeza weyeza, ngelixa ezinye zifuna.
I-Bacterium Conjunctivitis
I-conjunctivitis ye-bacterium ihlala iphela kwiiveki ezimbini kwaye iza kuzinyulula ngokwayo. Ukuba iimpawu zahluleka ukuphucula emva kweentsuku ezintlanu, ugqirha wakho unokuncoma i-antibiotiki yamehlo (ngokuqhelekileyo i-antibiotic ebanzi ekwazi ukuphatha iintlobo ezininzi zebhakteria).
Ukuba le meko inzima, isizukulwana esitsha esitsha sesitshalo se- fluoroquinolone sinokumiselwa . Amagciwane omlomo ngokuqhelekileyo agcinelwe izifo ezinzulu, ezifana nezo zibangelwa yi- gonorrhea okanye i- chlamydia .
Amachiza amaninzi anqandwa ngamayeza aquka:
- Isisombululo se-Azithromycin 1.0%
- Ciprofloxacin 0.3% amanconsi okanye amafutha
- I-Erythromycin i-0.5% yamathambo
- Gentamicin 0.3% amanconsi
- Levofloxacin 0.5%
- I-Ofloxacin 0.3% amaconsi
- I-Tobramycin 0.3% wehla
Ngexa i- corticosteroid isohlohlo lwehlohlo liyakunqunyulwa, ukusetyenziswa kwabo kuqhubeka kungqubuzana. Nangona kusebenza ekunciphiseni ukuvutha, banokuphucula inkqubo yokuphilisa kwaye "banyibilikise" umlenze wokudibanisa xa usetyenziswe ngokugqithiseleyo.
Viral Conjunctivitis
I-conjunctivitis yentsholongwane yinto enolwazi oluqhelekileyo kubazali abanabantwana abaneminyaka esikolweni. I-keratoconjunctivitis (i-EKC) yesifo esibangelwa yi-adenovirus ehambelana kakhulu neqanda eliqhelekileyo. Njengoko akukho ziyobisi ezikhuselekileyo ezikwazi ukuphilisa i-EKC, isifo sifanele sisebenzise ikhosi yaso ngendlela efanayo.
Kwiimeko ezinqabileyo ukuba iingxaki zenzeke, i-anti-virus efana ne-cidofovir inokumiselwa. Nangona kunjalo, ezi zigcinwe ngabantu abaneendlela zokuzivikela ezikhuselekileyo, njengalezo ezine- HIV ezikhuselekileyo .
Intsholongwane ye-herpes simplex (HSV) yinto ebangelwa yinto engavumelekanga yokudibanisa kodwa ngokuqinisekileyo iyinkathazo ngakumbi, njengoko kunokwenzeka ukuba iphinde ibuye. Unyango lungabandakanya indlela yokulinda nokulinda ukuba imeko ilula. Iziganeko ezinzima, apho umonakalo ongenakwenzeka khona, unokuphathwa nge-anti-viral (njengegeliclovir gel, i-trifluridine isohlo, okanye i-vidarabine ointment) okanye i-anti-virus (njenge-acyclovir).
Conjunctivitis
Uninzi lweziganeko ze-conjunctivitis ezixhatshazwayo ziphathwa ngokusesikweni kunye ne-OTC antihistamines, i-sprays ye-nasal, i-drops, kunye ne-nonsteroidal anti-inflammatory drugs (NSAIDs).
Ukuba iimpawu ziqhubeka okanye ziphindaphindiweyo, izilwanyana ezinqamlekileyo, ezifana ne-Alomide (lodoxamide) okanye i-Alocril (nedocromil), ziyafumaneka kwi-drops eye. Kwiimeko ze- atopic keratoconjunctivitis , apho umngcipheko wokulahleka kombono uphezulu, ukusetyenziswa okudibeneyo kwe-static stastosteroid ngomlomo okanye nge-headic corticosteroid ngokuqhelekileyo isebenza kakuhle.
Kwimiba ye -gijun papillry conjunctivitis , apho ukutyhila okungaqhelekanga kwiilensi kunye nezinye izinto zangaphandle kungabangela ukuba i-pimple-like bumps kwi-eyeriyeli yangaphakathi, unyango luquka ngokususwa kwezinto zangaphandle. I-static-stabilizers okanye i-corticosteroids yama-topic ingasetyenziswa kwiimeko apho into yangaphandle (njenge-sutures okanye i-eye prosthetic) ayisuswanga lula. Ukutshintshwa kwiilensi ezinzima ukuya kwii-lens ezithambileyo kunokukhusela ukuphindaphinda.
Ophthalmia Neonatorum
I-ophthalmia neonatorum , eyaziwa nangokuthi i-conjunctivitis ye-neonatal, ibangelwa xa i-gonorrheal okanye i-chlamydial intsholongwane idluliselwa kwamehlo omntwana njengoko idlula kwinqanaba lokuzalwa.
Ukuze ugweme oku, oomama afunyanwe ngethuba lokuzalwa unokunikezelwa kwinqanaba leCesarean ukunciphisa umngcipheko wokudluliselwa. Kungakhathaliseki indlela yokunikezelwa, umntwana uya kunikwa i-antibiotic eye isohlwayo ekuzalweni (mhlawumbi i-tetracycline okanye i-erythromycin) kunye nomthamo owodwa we-ceftriaxone ukuba unina akaphululi i-gonorrhea.
Ukuba umntwana ukhula iimpawu ze-conjunctivitis ye-gonococcal, i-hourly hour saline yeeyile iya kwenziwa kuze kube yilapho ukukhutshwa kwento kuhlanjululwa, kuxhaswa zicelo ezine ezineeyure ze-bacitracin. Inkqubo yee-anti-antibiotics yosuku lwee-sixhenxe nayo iya kumiselwa. I-Ceftriaxone, i-ciprofloxacin kunye ne-penicillin zikhetho ezifanelekileyo.
I- chlamydial conjunctivitis , i-tetracycline yama-topical okanye i-erythromycin-ointment iza kusetyenziswa kane ngamaxesha kwiiveki ezintathu, kunye ne-systemic erythromycin ukunciphisa umngcipheko we-pneumonia.
Ifomu engavumelekanga ye-neonatal conjunctivitis, ebangelwa yi-virus ye-herpes simplex , iya kunyangwa nge-acyclovir inokungeniswa kwimizuzu engama-14 ukunqanda ukusuleleka kwintsholongwane.
Uncedo olukhawulezileyo
I-conjunctivitis yamachiza ibangelwa ukutshatyalaliswa komsi, imfucu, utywala kunye nezinye i-agents eziyingozi. Iifom ezintle, ezinjengezo zibangelwa ngumsi okanye i-chlorine, zivame ukuzixazulula zodwa ngosuku.
Nangona kunjalo, ukubonakaliswa okunzima kakhulu, njengalezo ezibangelwa i-asidi (njenge-pool okanye i-acid acid) okanye i-alkali (efana ne-ammonia okanye i-drain cleaner), kufuneka iqhutywe ngokupheleleyo ngamanzi ngelixa uncedo oluxakekayo lufunwa. Oku kuyinyaniso ngokukrakra kwe-alkali leyo, nangaphezulu kwe-asidi, inokonakalisa umonakalo wamehlo, rhoqo ngemizuzwana.
> Imithombo:
> Azher, T .; Yin, X; Tajfirouz, D. et al. "I-Herpes simplex keratitis: imingeni ekuxilongweni nasekulawulweni kweklinikhi." I- Clinic Ophthalmol. 2017; 11: 185-91. INGXELO: 10.2147 / OPTH.S80475.
> Bilkhu, P .; Wolffsohn, J .; kunye ne-Naroo, S. "Ukuphumelela kwezilwanyana ezingaphelelanga nge-alpharmacologic kwixesha eliqhelekileyo le-conjunctivitis." I- Ophthalmology. 2014; 121 (1): 72-78. INGXELO: 10.1016 / j.ophtha 2013.08.007.
> Goodman, D .; Rogers, J .; kunye no-Livingston, E. "Conjunctivitis." I- JAMA. 2013; 309 (20): 2176. INGXELO: 10.1001 / jama.2013.4432.
> Palafox S .; Jasper, S; Tauber, A. et al. "I-Ophthalmia Neonatorum." J Clinic Uvavanyo lwe-Ophthalmol . 2011; 2: 119. INGXELO: 10.4172 / 2155-9570.1000119 .